Fat is a very important tissue. It’s our energy storage system and is vital for good health. That doesn’t mean you have to like it. On the positive side, fat allows our skin to appear smooth and soft without following every irregularity of the underlying muscle and bones. It also gives buttocks and breasts their fullness. On the negative side, it gives contour irregularities such as big thighs, bulgy abdomens and love handles. Fat doesn’t matter. Contour is everything.
Liposuction in all of its forms is the traumatic removal of fat to create contour changes. Creative names don’t matter. Fat removal devices matter only a little. It’s all about removing the fat and getting a contour change.
Preferred Liposuction Technique
In most procedures, a saltwater fluid is put into the tissue to stiffen it. The fluid also contains a local anesthetic and a medication to reduce bleeding. This can be called wet technique, superwet or tumescent. The fat can then be withdrawn using long thin instruments called canullae. In some cases, the fat is broken down with ultrasonic energy before it is removed. My preferred technique uses VASER®, a proprietary device that not only breaks down the fat but also tightens skin.
Many years ago, surgeons felt that the removal of a little fat from various areas was enough. And they were right as long as the patient did not age, or change their physique. Current trends reflect the fact that it’s not what you take out that matters, it’s what you leave behind. In many cases, liposuction tries to show what’s under the fat. We accentuate the hollows and celebrate the fullness. In some cases, we transfer the fat we remove from an area of unwanted fullness to the places that we want to enhance.
4D Lipo Sculpture
This has led to the development of high-definition lipo sculpture and 4D lipo sculpture. In these techniques, for which I have been trained and which I practice, the goal is to transform the body into a sculptured being. It’s about the interplay of light and shadow demonstrating the completed form. As Michelangelo said: “I saw the angel and carved until I set him free.” Some call it aggressive but I feel that it is the finest form of the practice.